Has anyone dealt with unethical billing issues at work with respect to coding -being told not to list the documented and most obvious codes but rather "find" "some other code" that can be used so insurance will pay? When I said that was not legal or ethical, I am getting double talk. I know in my heart that the office is heading down the wrong path but the manager doesn't agree. They have already started using different codes, and on claims that previously paid, they are now are getting denied and the provider has lost money. So, instead of the provider getting paid, the opposite is actually happening. The office is in a real mess right now because we have stacks of claims that we need "to find other codes" for. I am concerned about the providers being audited and the effect an audit will have on the coders. If anyone has any ideas or can help, PLEASE write me. Thank you!
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